Varicocele is classified as primary or secondary. If the varicocele disappears when standing and disappears or relieves significantly after lying down, it is generally said to be primary. Secondary varicose veins are mostly caused by thrombosis, tumor, tumor, hydronephrosis, etc., and are not relieved after lying down, so relevant tests are needed to rule them out. If there are symptoms related to varicocele and the possibility of primary ones is high, the semen routine can be checked, and if the sperm density is low, the viability is decreased and the vitality is low, surgery should be considered. As for the type of surgery, it depends on the specific condition, not necessarily laparoscopic surgery. Overall, the surgical results are good. The specific treatment plan should be made by the treating doctor according to the specific situation. Varicocele is a condition in which the varicocele is caused by the incompetence of the valves in the spermatic cord, resulting in poor reflux of the spermatic cord veins, resulting in elongation, dilation, and tortuosity of the trailing veins of the spermatic cord. The lesion occurs mostly on the left side. If the cause is unknown, the varicocele is primary, but if it is caused by renal tumor or hydronephrosis, it is symptomatic (secondary) varicocele. Patients may feel discomfort in the scrotum, and in a few severe cases, it may affect spermatogenesis and reduce fertility. The symptoms can be reduced or disappeared by cold compresses without special treatment or scrotal support. In severe cases, laparoscopic surgery or open surgery with high ligation of the internal spermatic vein can be used. In recent years, anastomosis of the spermatic vein with the superficial vein of the abdominal wall is also used to drain the blood from the spermatic vein, which is more effective.